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Recent partner violence and sexual and drug-related STI/HIV risk among adolescent and young adult women attending family planning clinics.
Sex Transm Infect. 2014 Mar; 90(2):145-9.ST

Abstract

BACKGROUND/OBJECTIVES

Adolescent and young adult women are at high risk for sexually transmitted infections (STIs)/HIV and intimate partner violence (IPV). We evaluate the prevalence of IPV in the past 3 months and its associations with STI/HIV risk, STI and related care-seeking over the same time period.

METHODS

Female family planning clinic patients ages 16-29 years (n=3504) participated in a cross-sectional survey in 2011-2012 as a baseline assessment for an intervention study. We examined associations of recent IPV with sexual and drug-related STI/HIV risk behaviour, self-reported STI and STI-related clinical care seeking via logistic regression.

RESULTS

Recent physical or sexual IPV (prevalence 11%) was associated with recent sexual and drug-related STI/HIV risk, specifically unprotected vaginal sex (adjusted OR (AOR) 1.93, 95% CI 1.52 to 2.44), unprotected anal sex (AOR 2.22, 95% CI 1.51 to 3.27) and injection drug use, their own (AOR 3.39, 95% CI 1.47 to 7.79) and their partner's (AOR 3.85, 1.91 to 7.75). IPV was also linked with coercive sexual risk: involuntary condom non-use (AOR 1.87 to 95% CI 1.51 to 2.33), and fears of requesting condoms (AOR 4.15, 95% CI 2.73 to 6.30) and refusing sex (AOR 11.84, 95% CI 7.59 to 18.45). STI-related care-seeking was also more common among those abused (AOR 2.49, 95% CI 1.87 to 3.31).

CONCLUSIONS

Recent IPV is concurrent with sexual and drug-related STI/HIV risk, including coercive sexual risk, thus compromising women's agency in STI/HIV risk reduction. Clinical risk assessments should broaden to include unprotected heterosexual anal sex, coercive sexual risk and IPV, and should promote safety and harm reduction.

Authors+Show Affiliations

Department of Population, Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health, , Baltimore, Maryland, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

24234072

Citation

Decker, Michele R., et al. "Recent Partner Violence and Sexual and Drug-related STI/HIV Risk Among Adolescent and Young Adult Women Attending Family Planning Clinics." Sexually Transmitted Infections, vol. 90, no. 2, 2014, pp. 145-9.
Decker MR, Miller E, McCauley HL, et al. Recent partner violence and sexual and drug-related STI/HIV risk among adolescent and young adult women attending family planning clinics. Sex Transm Infect. 2014;90(2):145-9.
Decker, M. R., Miller, E., McCauley, H. L., Tancredi, D. J., Anderson, H., Levenson, R. R., & Silverman, J. G. (2014). Recent partner violence and sexual and drug-related STI/HIV risk among adolescent and young adult women attending family planning clinics. Sexually Transmitted Infections, 90(2), 145-9. https://doi.org/10.1136/sextrans-2013-051288
Decker MR, et al. Recent Partner Violence and Sexual and Drug-related STI/HIV Risk Among Adolescent and Young Adult Women Attending Family Planning Clinics. Sex Transm Infect. 2014;90(2):145-9. PubMed PMID: 24234072.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recent partner violence and sexual and drug-related STI/HIV risk among adolescent and young adult women attending family planning clinics. AU - Decker,Michele R, AU - Miller,Elizabeth, AU - McCauley,Heather L, AU - Tancredi,Daniel J, AU - Anderson,Heather, AU - Levenson,Rebecca R, AU - Silverman,Jay G, Y1 - 2013/11/14/ PY - 2013/11/16/entrez PY - 2013/11/16/pubmed PY - 2014/4/23/medline KW - Adolescent KW - Behavioural Science KW - Sexual Abuse KW - Sexual Behaviour KW - Women SP - 145 EP - 9 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 90 IS - 2 N2 - BACKGROUND/OBJECTIVES: Adolescent and young adult women are at high risk for sexually transmitted infections (STIs)/HIV and intimate partner violence (IPV). We evaluate the prevalence of IPV in the past 3 months and its associations with STI/HIV risk, STI and related care-seeking over the same time period. METHODS: Female family planning clinic patients ages 16-29 years (n=3504) participated in a cross-sectional survey in 2011-2012 as a baseline assessment for an intervention study. We examined associations of recent IPV with sexual and drug-related STI/HIV risk behaviour, self-reported STI and STI-related clinical care seeking via logistic regression. RESULTS: Recent physical or sexual IPV (prevalence 11%) was associated with recent sexual and drug-related STI/HIV risk, specifically unprotected vaginal sex (adjusted OR (AOR) 1.93, 95% CI 1.52 to 2.44), unprotected anal sex (AOR 2.22, 95% CI 1.51 to 3.27) and injection drug use, their own (AOR 3.39, 95% CI 1.47 to 7.79) and their partner's (AOR 3.85, 1.91 to 7.75). IPV was also linked with coercive sexual risk: involuntary condom non-use (AOR 1.87 to 95% CI 1.51 to 2.33), and fears of requesting condoms (AOR 4.15, 95% CI 2.73 to 6.30) and refusing sex (AOR 11.84, 95% CI 7.59 to 18.45). STI-related care-seeking was also more common among those abused (AOR 2.49, 95% CI 1.87 to 3.31). CONCLUSIONS: Recent IPV is concurrent with sexual and drug-related STI/HIV risk, including coercive sexual risk, thus compromising women's agency in STI/HIV risk reduction. Clinical risk assessments should broaden to include unprotected heterosexual anal sex, coercive sexual risk and IPV, and should promote safety and harm reduction. SN - 1472-3263 UR - https://www.unboundmedicine.com/medline/citation/24234072/Recent_partner_violence_and_sexual_and_drug_related_STI/HIV_risk_among_adolescent_and_young_adult_women_attending_family_planning_clinics_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&pmid=24234072 DB - PRIME DP - Unbound Medicine ER -